SHAUNA KELLY

BRYAN, TX
NPI1982900114
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
(Licence: TX  1195167)
Enumeration Date2011-02-05
Last Update Date2011-02-05
Business Address
MISS SHAUNA KELLY PT
1600 JOSEPH DR
BRYAN, TX 77802-1502
Phone number: 979-776-2411
Mailing Address
MISS SHAUNA KELLY PT
64 DANBURY RD
WILTON, CT 06897-4429
Phone number: 800-278-0332